ALiEM

JANUARY 29, 2024

A 59-year-old male with no known past medical history other than an incidental abdominal aortic aneurysm presented with sudden onset, painless vision loss in his left eye. The patient was watching TV two days prior when he saw a “brightness” in his left eye and then progressive blurriness until his vision faded away, all occurring within the span of a minute.

ALS 161

ALS ED OR 161

REBEL EM

JANUARY 29, 2024

Background: Massive pulmonary embolism defined as sustained hypotension (SBP <90mmHg) has a high mortality which is why early recognition and thrombolytic therapy is typically recommended (AHA Class IIA; ESC Class IB) [1]. However, full-dose thrombolytic therapy (Alteplase 100mg (IV) is associated with an increase in bleeding [2]. Because the lungs receive 100% of cardiac output, it has been hypothesized that a lower dose of thrombolytic therapy may still be effective with a better safety

ALS 137

ALS ACS OR CPR 137

EMergucate

JANUARY 29, 2024

The following shoulder x-ray is from an adult who is complaining of shoulder pain following MVA. What can be seen?

EMS 130

EMS 130

Don't Forget the Bubbles

JANUARY 29, 2024

A UK-based study found that 4% of admissions to a tertiary paediatric intensive care unit (PICU) over a 10-year period were due to refractory status epilepticus (RSE) – seizures which fail to terminate despite appropriate first and second-line treatments. Of those patients admitted with RSE, a subset will go on to develop super-refractory status epilepticus (SRSE).

ALS 122

ALS Critical Care OR 122

EMergucate

JANUARY 29, 2024

The wrist x-rays show multiple fractures but the main injury is trans scaphoid perilunate dislocation.

EMS 130

EMS 130

FirstNet Authority

JANUARY 29, 2024

FirstNet Authority Board Approves Investment for Network Evolution Press Releases michelle.fordi… Mon, 01/29/2024 - 13:53 The First Responder Network Authority (FirstNet Authority) is an independent authority within the U.S. Department of Commerce. Created in 2012, its mission is to ensure the building, deployment, and operation of the nationwide broadband network that equips first responders to save lives and protect U.S. communities.

First Responder 118

First Responder 118

EMOttawa

JANUARY 29, 2024

Methodology: 4/5 Usefulness: 3.5/5 Thiele H, et al. N Engl J Med. 2023 Oct 5;389(14):1286-1297. Editorial: Routine Early ECLS in Infarct-Related Cardiogenic Shock? Question: Does early ECLS therapy confer a mortality benefit in patients with MI complicated by cardiogenic shock? Methods: Open label RCT with 417 patients comparing 30-day all-cause mortality between ECLS versus standard […] The post Extracorporeal Life Support in Infarct-Related Cardiogenic Shock appeared first on EMOttawa B

Life Support 102

Life Support ALS Critical Care 102

First Responders Foundation

JANUARY 29, 2024

First responders are our everyday heroes, facing challenging situations to keep our communities safe. Beyond the essential emergency services they provide, many first responders are deeply involved in community-building activities like Jiu-Jitsu, anti-bullying, and women’s self-defense classes. Supporting these initiatives not only benefits first responders but also strengthens community bonds.

First Responder 98

First Responder Public Safety Firefighter OR 98

First 10 EM

JANUARY 29, 2024

REBOA (resuscitative endovascular balloon occlusion of the aorta) has been discussed in the emergency medicine world for quite some time now, but always with very limited data. There have been some observational studies that suggested REBOA was associated with worse outcomes, but the outcomes were largely assumed to be the result of confounders. (Norii 2015, […] The post The UK-REBOA trial appeared first on First10EM.

EMS 89

EMS 89

Dr. Smith's ECG Blog

JANUARY 29, 2024

This was sent by Sam Ghali @EM_RESUS A 44 year old man presented with chest pain The tech came running with the ECG as the computer called "STEMI!" What do you think? Sam sent this to me and asked: "What do you think, Steve?" My answer: --Tough one! --But I'm going to stick my neck out and say "Not OMI" --STE in V2 has a near "saddleback" configuration, and that is a sign of false positive STE.

STEMI 79

STEMI OR 79

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. Louis); Marina Boushra, MD (EM-CCM Attending Physician, Cleveland Clinic Foundation); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: A 39-year-old male is brought in by EMS with a sudden-onset severe headache

ALS 73

ALS Critical Care OR EMS 73

Paramedics World

JANUARY 29, 2024

According to a report by Forbes Adviser, 82,528 people were injured in bicycle accidents. More cyclists are likely to lose their lives in accidents than motorists. The aftereffects of the… The post The Serious Injuries a Bicycle Accident Victim May Sustain appeared first on Paramedics World.

Paramedic 52

Paramedic 52